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Maxillary sinus septa: Prevalence, height, location, and morphology. A reformatted computed tomography scan analysis

Authors
 Min-Jung Kim  ;  Ui-Won Jung  ;  Chang-Sung Kim  ;  Kee-Deog Kim  ;  Seong-Ho Choi  ;  Chong-Kwan Kim  ;  Kyoo-Sung Cho 
Citation
 JOURNAL OF PERIODONTOLOGY, Vol.77(5) : 903-908, 2006 
Journal Title
 JOURNAL OF PERIODONTOLOGY 
ISSN
 0022-3492 
Issue Date
2006
MeSH
Diagnosis, Differential ; Humans ; Keratins/analysis ; Male ; Mandibular Neoplasms/chemistry ; Mandibular Neoplasms/pathology* ; Middle Aged ; Mouth Floor/pathology ; Odontogenic Tumors/chemistry ; Odontogenic Tumors/pathology*
Keywords
Computed‐assisted ; dental implants ; radiography, dental ; maxillary sinus/surgery
Abstract
BACKGROUND: The sinus lift technique may be difficult to perform if an aberrant sinus anatomy is encountered during surgical exposure, such as when a septum is present on the sinus floor. The objective of this study was to determine the prevalence, size, location, and morphology of maxillary sinus septa in the atrophic/edentulous and non-atrophic/dentate maxillary segments. METHODS: The sample population consisted of 100 patients (41 women and 59 men, with a mean age of 50 years, ranging between 19 and 87 years) for whom treatment was being planned for implant-supported restorations. Reformatted computerized tomograms (CT) from 200 sinuses were analyzed using imaging software. RESULTS: The prevalence of one or more septa per sinus was found to be 26.5% (53/200), 31.76% (27/85), and 22.61% (26/115) in the overall study population and the atrophic/edentulous and the non-atrophic/dentate maxillary segments, respectively. In the analysis of the anatomic location of the septa within the sinus, it was revealed that 15 (25.4%) were located in the anterior region, 30 (50.8%) in the middle region, and 14 (23.7%) in the posterior region. The measured heights of the septa varied among the different areas. The mean heights of the septa were 1.63 +/- 2.44, 3.55 +/- 2.58, and 5.46 +/- 3.09 mm in the lateral, middle, and medial areas, respectively. CONCLUSIONS: It can be inferred that there is a wide anatomical variation in the prevalence, size, location, and morphology of maxillary sinus septa, irrespective of the degree of atrophy. Therefore, to prevent the likelihood of complications arising during sinus augmentation procedures, a thorough and extensive understanding of the anatomic structures inherent to the maxillary sinus is indispensable.
Full Text
http://www.joponline.org/doi/abs/10.1902/jop.2006.050247
DOI
10.1902/jop.2006.050247
Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Advanced General Dentistry (통합치의학과) > 1. Journal Papers
2. College of Dentistry (치과대학) > Dept. of Periodontics (치주과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Kee Deog(김기덕) ORCID logo https://orcid.org/0000-0003-3055-5130
Kim, Chong Kwan(김종관)
Kim, Chang Sung(김창성) ORCID logo https://orcid.org/0000-0003-3902-1071
Cho, Kyoo Sung(조규성) ORCID logo https://orcid.org/0000-0002-6777-5287
Choi, Seong Ho(최성호) ORCID logo https://orcid.org/0000-0001-6704-6124
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/109493
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